ACZD-034 Adolescent medical record Mako Maeda

Mako visited the hospital because she felt abdominal tension during class because she had no bowel movements for about three days. Dr. Kagami, a new female doctor, begins the examination of Mako under the guidance of Dr. Higashimoto. After taking off the skirt, lay it on the examination bed and start a massage of the lower abdomen. By pressing strongly on the large intestine, the intestine becomes active, and you can hear the sound of stool moving from the abdomen of the mako. The patient is made to crawl on all fours in the examination bed as it is, and an anal massage by Mr. Kagami. Relax the mako and carefully stroke the wrinkles in the anus with a finger smeared with a large amount of petrolatum, and a sweet sigh will leak from the lips of the mako. If you slowly move your finger inserted into the anus back and forth, your breathing will become rough. Mako who is squeezed in the rectum with Kagami's finger and stimulates the bladder, resulting in urinary incontinence. I was able to confirm the activity of the rectum, so I let him breathe on all fours. Anus that swells and rolls up every time Mako puts her strength. By exerting force on the lower abdomen, Mako becomes urinary incontinence again. A brown object gradually appears from the anus, which repeatedly expands and contracts. A hard and small stool mass falls on the water-absorbing sheet laid on the examination bed in multiple steps. Use a urinary catheter to check for any abnormalities in the bladder of the urinary bladder due to urinary incontinence during anal massage. The tip of the catheter reaches the bladder, and urine with a strong color and scent drips into the glass container. Rectal palpation by the director, who is a veteran of anal examination. When Mako was laid on her back, her knees were held, and she was in a lithotomy position, a small bud-like anus was exposed. By catching a man's thick finger in the anus, sexual pleasure occurs in the mako and sweet pant begins to leak. Since it also serves the purpose of anal dilation, if you increase the number of fingers to two, the pant of the chin will become more intense and the anal sphincter will tighten the fingers strongly. As the sexual response of Mako increases, the movement of the finger of the director of Higashimoto becomes faster. At the same time as the pant culminates, it squirts urine like a fountain. Moreover, the white mucus that overflows from the vagina, mixed with urine, accumulates in the palm of the director. Next, I decided to use an anus dilation bougie to expand the anus and check the anus sensation. The bougie that is thinner than the little finger is gradually changed to a thicker bougie, and finally the bougie that is thicker than the thumb stimulates the anus. In order to confirm the stool remaining in the intestine, an anoscopy was inserted and the anus was greatly expanded, and it was confirmed that a stool mass remained in the back of the rectum of the mako. Dr. Kagami recommends intestinal cleansing with an enema for Mako who complains that her stomach is not refreshing. The hole of the nozzle to be inserted into the anus is thick, and by adjusting the height of the Illigator, a special enema is used in which lukewarm water moves back and forth between the Illigator and the rectum. The 500cc of lukewarm water that has flowed into the rectum of Mako returns to Illigator by lowering the position of Illigator. By repeating this, the transparent lukewarm water gradually turns brown. Have them wear disposable diapers to put up with excretion. Mako tried to put up with the shame of diaper defecation, but immediately made a loud noise and excreted the cloudy liquid. The brown liquid oozes on the white disposable diaper. As the final stage of intestinal washing, enema 1000cc of lukewarm water and wash the intestines by repeatedly excreting it several times. It seems that the amount exceeded the limit of Mako's body, and a brown turbid liquid flows back into Illigator. Mako's patience seems to have exceeded the limit, and the moment the nozzle of the anus was pulled out, the anus broke and the turbid liquid spouted vigorously.